| NPI | 1639174873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J FURTO President/Orthotist/Prosthetist 219-924-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |